Organization
REHAB SPECIALTIES BY BLACKBURNS, INC.
Active
Other names
Blackburns
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD C RUKAS RPH (PRESIDENT/CEO)
(724) 224-9100
Entity
Organization
Contact information
Practice address
308 E 6TH ST, ERIE, PA 16507-1610
(814) 454-2863
(814) 454-2706
Mailing address
301 CORBET ST, TARENTUM, PA 15084-1877
(724) 224-9100
(724) 224-6108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011925680001
—
PA
Enumeration date
08/03/2005
Last updated
12/09/2010
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